Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
•Download as PPTX, PDF•
0 likes•55 views
A rare case of double-diverticulae of the Gallbladder found during a routine elective cholecystectomy is presented including intra operative and specimen images.
Report
Share
Report
Share
Recommended
Intestinal obstruction
This document provides an overview of intestinal obstruction, including its classification, common causes, clinical features, investigations, and treatment options. Intestinal obstruction can result from mechanical blockage from structural abnormalities (dynamic obstruction) or paralysis without physical obstruction (ileus). Common causes of dynamic obstruction include adhesions, hernias, volvulus, and intussusception. Clinical features include colicky pain, vomiting, abdominal distention, and constipation. Investigations may include blood tests, abdominal x-rays, and CT scans. Treatment involves resuscitation, nasogastric decompression, IV fluids, and potentially surgery to resolve the obstruction. Complications can include bleeding, infection, leakage, and reoccurrence of obstruction
Scrotal swellings
Torsion testis was diagnosed in a 14-year-old boy presenting with acute right scrotal pain. On examination, his right testicle was higher in the scrotum, exquisitely tender, and the cremasteric reflex was absent on that side. Doppler ultrasound showed no central testicular blood flow. The patient was taken to the operating room for exploration, detorsion, and fixation orchiopexy to save the testicle from necrosis due to twisting of the spermatic cord and testis. Other possible causes of acute scrotal pain include torsion of testicular appendages and acute epididymo-orchitis.
Hydrocele- All types & treatment options
This document provides an overview of hydrocele, including its definition, developmental anatomy, risk factors, classification, signs and symptoms, diagnosis, complications, differential diagnosis, management, and a clinical case scenario. A hydrocele is an abnormal collection of fluid between layers of the tunica vaginalis that can be congenital or acquired. It presents as a painless scrotal swelling that is transilluminant and fluctuant. Management involves surgical excision via techniques like Lord's plication or Jaboulay's procedure to prevent recurrence of the fluid collection.
Coarctation - Wetzel
This document discusses coarctation of the aorta, including its development, presentation, management, and outcomes. It begins with an overview of the anatomy and embryological development of the aorta. Coarctation results from abnormal development of the 4th and 6th aortic arches. Presentation and management in the delivery room and NICU is then reviewed. Undiagnosed cases may present with signs of heart failure. Timing of ductal closure is also an important factor. Surgical intervention, outcomes, complications, and long-term issues are then described. Neurologic abnormalities can occur pre- and post-operatively. Overall, outcomes have significantly improved with early diagnosis and surgical repair.
Urinary diversion
Urinary diversion involves redirecting the urinary pathway from the bladder due to conditions like muscle invasive bladder cancer. There are various types including continent, incontinent, internal, and external diversions. The ileal conduit is the most common non-continent diversion and involves using a segment of ileum as a urinary conduit connected to an abdominal stoma. Continent diversions like the Indiana pouch create an internal pouch that allows intermittent self-catheterization. Complications of urinary diversion can include metabolic abnormalities, infections, stone formation, and nutritional deficiencies depending on the bowel segment used.
Echinococcus
Hydatid disease is caused by the tapeworm Echinococcus and affects the liver and lungs primarily. It has been described for thousands of years. Dogs are the definitive host and shed eggs through their feces which can infect sheep, cattle and humans as intermediate hosts if accidentally ingested. Imaging studies like ultrasound and CT are used for diagnosis and treatment involves anti-parasitic drugs, surgery, or puncture-aspiration-injection-reaspiration. Complete surgical removal of the cyst is the treatment of choice when possible to prevent recurrence.
Echinococcus granulosus dr sunil negi
Hydatid cyst, caused by the tapeworm Echinococcus granulosus, is a parasitic infection that can affect various organs in the body. It is commonly found in the liver and lungs. The parasite is transmitted between canine hosts that shed eggs and intermediate hosts such as sheep that humans can become infected by ingesting. Symptoms depend on the location and size of cysts. Diagnosis involves imaging and serology. Treatment options include medical management with anti-parasitic drugs, surgery, and puncture-aspiration-injection-reaspiration (PAIR). Preventing contact between infected dog feces and food sources can help reduce transmission.
Anatomy of inner ear hk
This document provides an overview of the anatomy and embryology of the inner ear. It discusses the development of the inner ear from the otic placode and otocyst, and covers topics like the bony and membranous labyrinth, cochlea, vestibular system, inner ear fluids, blood supply, nerve supply, and surgical approaches to the inner ear. The overview is intended to inform the audience about the structure and development of this complex anatomical region.
Recommended
Intestinal obstruction
This document provides an overview of intestinal obstruction, including its classification, common causes, clinical features, investigations, and treatment options. Intestinal obstruction can result from mechanical blockage from structural abnormalities (dynamic obstruction) or paralysis without physical obstruction (ileus). Common causes of dynamic obstruction include adhesions, hernias, volvulus, and intussusception. Clinical features include colicky pain, vomiting, abdominal distention, and constipation. Investigations may include blood tests, abdominal x-rays, and CT scans. Treatment involves resuscitation, nasogastric decompression, IV fluids, and potentially surgery to resolve the obstruction. Complications can include bleeding, infection, leakage, and reoccurrence of obstruction
Scrotal swellings
Torsion testis was diagnosed in a 14-year-old boy presenting with acute right scrotal pain. On examination, his right testicle was higher in the scrotum, exquisitely tender, and the cremasteric reflex was absent on that side. Doppler ultrasound showed no central testicular blood flow. The patient was taken to the operating room for exploration, detorsion, and fixation orchiopexy to save the testicle from necrosis due to twisting of the spermatic cord and testis. Other possible causes of acute scrotal pain include torsion of testicular appendages and acute epididymo-orchitis.
Hydrocele- All types & treatment options
This document provides an overview of hydrocele, including its definition, developmental anatomy, risk factors, classification, signs and symptoms, diagnosis, complications, differential diagnosis, management, and a clinical case scenario. A hydrocele is an abnormal collection of fluid between layers of the tunica vaginalis that can be congenital or acquired. It presents as a painless scrotal swelling that is transilluminant and fluctuant. Management involves surgical excision via techniques like Lord's plication or Jaboulay's procedure to prevent recurrence of the fluid collection.
Coarctation - Wetzel
This document discusses coarctation of the aorta, including its development, presentation, management, and outcomes. It begins with an overview of the anatomy and embryological development of the aorta. Coarctation results from abnormal development of the 4th and 6th aortic arches. Presentation and management in the delivery room and NICU is then reviewed. Undiagnosed cases may present with signs of heart failure. Timing of ductal closure is also an important factor. Surgical intervention, outcomes, complications, and long-term issues are then described. Neurologic abnormalities can occur pre- and post-operatively. Overall, outcomes have significantly improved with early diagnosis and surgical repair.
Urinary diversion
Urinary diversion involves redirecting the urinary pathway from the bladder due to conditions like muscle invasive bladder cancer. There are various types including continent, incontinent, internal, and external diversions. The ileal conduit is the most common non-continent diversion and involves using a segment of ileum as a urinary conduit connected to an abdominal stoma. Continent diversions like the Indiana pouch create an internal pouch that allows intermittent self-catheterization. Complications of urinary diversion can include metabolic abnormalities, infections, stone formation, and nutritional deficiencies depending on the bowel segment used.
Echinococcus
Hydatid disease is caused by the tapeworm Echinococcus and affects the liver and lungs primarily. It has been described for thousands of years. Dogs are the definitive host and shed eggs through their feces which can infect sheep, cattle and humans as intermediate hosts if accidentally ingested. Imaging studies like ultrasound and CT are used for diagnosis and treatment involves anti-parasitic drugs, surgery, or puncture-aspiration-injection-reaspiration. Complete surgical removal of the cyst is the treatment of choice when possible to prevent recurrence.
Echinococcus granulosus dr sunil negi
Hydatid cyst, caused by the tapeworm Echinococcus granulosus, is a parasitic infection that can affect various organs in the body. It is commonly found in the liver and lungs. The parasite is transmitted between canine hosts that shed eggs and intermediate hosts such as sheep that humans can become infected by ingesting. Symptoms depend on the location and size of cysts. Diagnosis involves imaging and serology. Treatment options include medical management with anti-parasitic drugs, surgery, and puncture-aspiration-injection-reaspiration (PAIR). Preventing contact between infected dog feces and food sources can help reduce transmission.
Anatomy of inner ear hk
This document provides an overview of the anatomy and embryology of the inner ear. It discusses the development of the inner ear from the otic placode and otocyst, and covers topics like the bony and membranous labyrinth, cochlea, vestibular system, inner ear fluids, blood supply, nerve supply, and surgical approaches to the inner ear. The overview is intended to inform the audience about the structure and development of this complex anatomical region.
Anatomy of inner ear by dr mithun sutrave
This document provides an overview of the anatomy and embryology of the inner ear. It discusses the development of the inner ear from the otic placode and otocyst, and covers topics like the bony and membranous labyrinth, cochlea, vestibular system, inner ear fluids, blood supply, nerve supply, and surgical approaches to the inner ear. The overview is intended to inform the audience about the structure and development of this complex anatomical region.
Cystic renal diseases
This document discusses various renal cystic diseases and conditions. It covers cortical and medullary cysts, polycystic kidney disease, multicystic renal dysplasia and extra-parenchymal cysts. Autosomal dominant polycystic kidney disease is described as the most common hereditary cystic renal disease affecting 1 in 1000 people typically in the third decade of life. Imaging findings for simple cysts, polycystic kidney disease, multicystic renal dysplasia and extrarenal cysts on ultrasound, intravenous urography, CT and MRI are summarized.
Anorectal Malformation for BSc Nursing/PB BSc Nursing
Anorectal Malformation, in which you will learn about its types, incidence, causes, risk factors, signs and symptoms, associated abnormalities, diagnostic evaluation, surgical and nursing management. It also includes anal dilation, colostomy care and family education.
Anorectal malformation
The document discusses anorectal malformations (ARMs) in newborns. It covers the embryology, classification, anatomy, pathophysiology and approach to a case of ARM. Some key points include:
- ARMs occur in about 1 in 5,000 births and involve defects in the development of the anus and rectum.
- Embryologically, ARMs occur when the urorectal septum fails to fully divide the cloaca into the urogenital sinus and anorectal canal.
- ARMs are classified based on the level of defect (high, intermediate, low). The most common are rectourethral fistula in males and rectovestibular fist
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...Health Education Library for People
Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Implications by Dr. Vivek Rege at HELP
This is part of the HELP Talk series at HELP,Health Education Library for People, the worlds largest free patient education library www.healthlibrary.com
For info log on to www.healthlibrary.com.male genitalia congenital diseases
This document discusses several congenital genital defects including cryptorchidism, hypospadias, chordee, micropenis, and others. It provides details on the embryological development of the genitals. For hypospadias, it describes the condition as an abnormal urethral opening on the ventral penis and notes increasing rates. Surgical correction aims to widen the meatus, correct curvature, and reconstruct the urethra. Techniques discussed include TIP urethroplasty and flap procedures. Complications can include fistula, stenosis, and stricture.
Club foot / CTEV
PATHOLOGICAL ANATOMY of club foot, treatment of CTEV and clubfoot, pirani score of CTEV, surgical procedures of club foot
Traumatic reticulo peritonitis
This document discusses traumatic reticulo-peritonitis (TRP), also known as hardware disease, in cattle and buffaloes. TRP occurs when a sharp foreign object perforates the wall of the reticulum. Clinical signs include anorexia, decreased milk production, decreased or absent rumen contractions, bloating, and abdominal pain. Diagnosis involves history, clinical signs, pain tests, metal detection, ultrasonography, and exploratory rumenotomy. Ultrasonography shows thickened and corrugated reticular walls, fibrin deposits between the reticulum and diaphragm, and occasionally abscesses. TRP accounts for 30% of cases presenting with digestive issues and bloating based on a study
Complications of laparoscopic cholecystectomy, by Dr. Bashab Bijoy Roy, PGT,SMC,
Laparoscopic cholecystectomy is the standard procedure for gallbladder removal. However, it can come with complications such as bile duct injury, hemorrhage, and retained stones if not performed carefully. Achieving the "critical view of safety" prior to cystic duct division and obtaining help from an experienced surgeon if needed can help prevent complications. It is also important to convert to an open procedure if the anatomy cannot be clearly visualized or if there is significant bleeding or inflammation. While techniques have improved, the surgeon must take care to correctly identify the biliary anatomy and dissect carefully to safely perform this laparoscopic procedure.
Billious vomiting
The document discusses several pediatric surgical emergencies including malrotation, pyloric stenosis, intussusception, Meckel's diverticulum, appendicitis, and acute scrotum. It provides details on the presentation, diagnosis, and treatment of each condition. The main takeaway messages are that bilious emesis should be assumed to be malrotation until proven otherwise, appendicitis should always be in the top 3 differential diagnoses for abdominal pain, and acute scrotum requires urgent evaluation and treatment without delay.
VVF DR SR PATANAIK
This document discusses the classification and management of genitourinary fistulas. It begins with an introduction defining a fistula and classifying them based on organ of origin and termination point in the urinary tract. It then describes various types of genitourinary fistulas involving the bladder, ureter, and urethra. The remainder of the document covers etiology, clinical features, investigations, prevention, and surgical and non-surgical management of genitourinary fistulas.
Ureter anatomy injury n diversion
This document provides an overview of ureteric injury in obstetrics and gynecological surgery. It discusses the anatomy of the pelvic ureter and risk factors for injury. Common sites of injury include at the pelvic brim and broad ligament. Injuries may be intraoperative such as crushing or transection, or postoperative like kinking. Prevention strategies include careful dissection and visualization of the ureter. Management depends on the timing, location and extent of injury, and may involve primary repair, ureteroureterostomy, or autotransplantation of the kidney. Stenting is often used to support healing after repair.
Ureterocele
The document discusses ureteroceles, which are saccular dilations of the terminal portion of the ureter. Ureteroceles are birth defects that occur in about 1 in 500 to 4,000 people and are more common in females. They can be caused by delayed or incomplete development of the ureteral bud leading to early prenatal obstruction. Ureteroceles are classified as ectopic or intravesical and may cause urinary tract infections, masses, incontinence or obstruction. Diagnosis involves imaging tests like ultrasound, VCUG, IVP or CT scan. Treatment depends on symptoms but may include antibiotics, endoscopic incision, upper pole nephrectomy, u
Soft tissue calcifications and ossifications / oral surgery courses
This document discusses various types of soft tissue calcification and ossification that can occur in the oral cavity. It describes two main types of pathologic calcification: dystrophic calcification, which occurs in dead or degenerated tissues with normal calcium metabolism, and metastatic calcification, which occurs in normal tissues associated with abnormal calcium metabolism. Specific examples of soft tissue calcifications discussed in detail include calcified lymph nodes, tonsilloliths, cysticercosis lesions, arterial calcification, sialoliths, and phleboliths. The document also covers heterotopic ossification and provides examples such as osteoma cutis and myositis ossificans.
Procedure to Medico legal Autopsy.pptx
In this slide you'll get all the procedures of medicolegal autopsy and collection and preservation of samples.
embryology and anatomy of hypospadias
Hypospadias is a congenital abnormality where the urethral opening is located on the ventral side of the penis. It occurs due to abnormal development of the urethra during embryogenesis. The urethra normally develops from the urethral groove which deepens between the urethral folds and fuses in the midline to form the urethral tube. In hypospadias, this fusion of folds is impaired, resulting in an abnormal ventral opening of the urethra. The document discusses in detail the normal embryological development of the male urogenital system and the urethra. It also explores various theories regarding the precise origin and development of
Hydrocephalus
This document discusses hydrocephalus, including:
1) It defines hydrocephalus as an increased volume of cerebrospinal fluid in the ventricles due to overproduction or impaired absorption, causing increased pressure in the skull.
2) There are two main types - communicating/non-obstructive which involves overproduction or underabsorption of CSF, and non-communicating/obstructive which involves obstruction of CSF flow.
3) Clinical features vary depending on age but include increasing head size, irritability, vomiting, and signs of increased intracranial pressure like headache.
4) Treatment involves reducing CSF production medically or surgically placing a shunt to divert CSF out of
Vesicoureteric reflux by dr emmanuel, godwin
Vesicoureteric reflux , a common condition in children which could be misdiagnosed . Early diagnosis can help prevent renal scarring and other complications
Gyne procedure
This document provides an overview of various gynaecological procedures including:
1. Thin prep liquid based cytology, colposcopy, speculums, and biopsy tools for examining the cervix and vagina.
2. Transvaginal ultrasound, sonohysterography, saline infusion sonography, and MRI for examining the uterus.
3. Hysteroscopy, the gold standard for assessing the endometrium, which allows both diagnostic and operative procedures such as removing fibroids and polyps.
4. Endometrial ablation techniques for removing the endometrium without hysterectomy, including various laser, electrosurgery, balloon, and microwave methods.
Stump stone after cholecystectomy.ppt
Stump stones after cholecystectomy can occur when a cystic duct remnant is left behind after surgery. This summary will discuss cystic duct remnant stones.
Cystic duct remnant stones are a rare cause of post-cholecystectomy syndrome, occurring in less than 2.5% of cases. They are more common after laparoscopic versus open cholecystectomy since the cystic duct is often cut closer to the gallbladder laparoscopically. Diagnosis is difficult but can be made using ERCP or MRCP. Treatment options include ERCP with basket extraction, ESWL with fragmentation and basketting, endoscopic biliary lithotripsy, or repeat lapar
A case of Trichobezoar in a teenage female
A case report of a 14-year-old female with abdominal pain and a palpable abdominal mass. Trichobezoar confirmed on Gastroscopy and CT scan. Managed by removal on open surgery. CT images and Intraoperative photos are shown, as well as a review of the condition.
A rare case of Omental & Fibroid Torsion
A rare case of acute abdomen managed by diagnostic laparoscopy. The findings were of simultaneous torsion of the greater omentum and a sub serosal fibroid. Both excised laparoscopically. The case is unique as it combines two rare pathologies happening simultaneously. Includes intra operative photos and a review of both conditions.
More Related Content
Similar to Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
Anatomy of inner ear by dr mithun sutrave
This document provides an overview of the anatomy and embryology of the inner ear. It discusses the development of the inner ear from the otic placode and otocyst, and covers topics like the bony and membranous labyrinth, cochlea, vestibular system, inner ear fluids, blood supply, nerve supply, and surgical approaches to the inner ear. The overview is intended to inform the audience about the structure and development of this complex anatomical region.
Cystic renal diseases
This document discusses various renal cystic diseases and conditions. It covers cortical and medullary cysts, polycystic kidney disease, multicystic renal dysplasia and extra-parenchymal cysts. Autosomal dominant polycystic kidney disease is described as the most common hereditary cystic renal disease affecting 1 in 1000 people typically in the third decade of life. Imaging findings for simple cysts, polycystic kidney disease, multicystic renal dysplasia and extrarenal cysts on ultrasound, intravenous urography, CT and MRI are summarized.
Anorectal Malformation for BSc Nursing/PB BSc Nursing
Anorectal Malformation, in which you will learn about its types, incidence, causes, risk factors, signs and symptoms, associated abnormalities, diagnostic evaluation, surgical and nursing management. It also includes anal dilation, colostomy care and family education.
Anorectal malformation
The document discusses anorectal malformations (ARMs) in newborns. It covers the embryology, classification, anatomy, pathophysiology and approach to a case of ARM. Some key points include:
- ARMs occur in about 1 in 5,000 births and involve defects in the development of the anus and rectum.
- Embryologically, ARMs occur when the urorectal septum fails to fully divide the cloaca into the urogenital sinus and anorectal canal.
- ARMs are classified based on the level of defect (high, intermediate, low). The most common are rectourethral fistula in males and rectovestibular fist
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...Health Education Library for People
Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Implications by Dr. Vivek Rege at HELP
This is part of the HELP Talk series at HELP,Health Education Library for People, the worlds largest free patient education library www.healthlibrary.com
For info log on to www.healthlibrary.com.male genitalia congenital diseases
This document discusses several congenital genital defects including cryptorchidism, hypospadias, chordee, micropenis, and others. It provides details on the embryological development of the genitals. For hypospadias, it describes the condition as an abnormal urethral opening on the ventral penis and notes increasing rates. Surgical correction aims to widen the meatus, correct curvature, and reconstruct the urethra. Techniques discussed include TIP urethroplasty and flap procedures. Complications can include fistula, stenosis, and stricture.
Club foot / CTEV
PATHOLOGICAL ANATOMY of club foot, treatment of CTEV and clubfoot, pirani score of CTEV, surgical procedures of club foot
Traumatic reticulo peritonitis
This document discusses traumatic reticulo-peritonitis (TRP), also known as hardware disease, in cattle and buffaloes. TRP occurs when a sharp foreign object perforates the wall of the reticulum. Clinical signs include anorexia, decreased milk production, decreased or absent rumen contractions, bloating, and abdominal pain. Diagnosis involves history, clinical signs, pain tests, metal detection, ultrasonography, and exploratory rumenotomy. Ultrasonography shows thickened and corrugated reticular walls, fibrin deposits between the reticulum and diaphragm, and occasionally abscesses. TRP accounts for 30% of cases presenting with digestive issues and bloating based on a study
Complications of laparoscopic cholecystectomy, by Dr. Bashab Bijoy Roy, PGT,SMC,
Laparoscopic cholecystectomy is the standard procedure for gallbladder removal. However, it can come with complications such as bile duct injury, hemorrhage, and retained stones if not performed carefully. Achieving the "critical view of safety" prior to cystic duct division and obtaining help from an experienced surgeon if needed can help prevent complications. It is also important to convert to an open procedure if the anatomy cannot be clearly visualized or if there is significant bleeding or inflammation. While techniques have improved, the surgeon must take care to correctly identify the biliary anatomy and dissect carefully to safely perform this laparoscopic procedure.
Billious vomiting
The document discusses several pediatric surgical emergencies including malrotation, pyloric stenosis, intussusception, Meckel's diverticulum, appendicitis, and acute scrotum. It provides details on the presentation, diagnosis, and treatment of each condition. The main takeaway messages are that bilious emesis should be assumed to be malrotation until proven otherwise, appendicitis should always be in the top 3 differential diagnoses for abdominal pain, and acute scrotum requires urgent evaluation and treatment without delay.
VVF DR SR PATANAIK
This document discusses the classification and management of genitourinary fistulas. It begins with an introduction defining a fistula and classifying them based on organ of origin and termination point in the urinary tract. It then describes various types of genitourinary fistulas involving the bladder, ureter, and urethra. The remainder of the document covers etiology, clinical features, investigations, prevention, and surgical and non-surgical management of genitourinary fistulas.
Ureter anatomy injury n diversion
This document provides an overview of ureteric injury in obstetrics and gynecological surgery. It discusses the anatomy of the pelvic ureter and risk factors for injury. Common sites of injury include at the pelvic brim and broad ligament. Injuries may be intraoperative such as crushing or transection, or postoperative like kinking. Prevention strategies include careful dissection and visualization of the ureter. Management depends on the timing, location and extent of injury, and may involve primary repair, ureteroureterostomy, or autotransplantation of the kidney. Stenting is often used to support healing after repair.
Ureterocele
The document discusses ureteroceles, which are saccular dilations of the terminal portion of the ureter. Ureteroceles are birth defects that occur in about 1 in 500 to 4,000 people and are more common in females. They can be caused by delayed or incomplete development of the ureteral bud leading to early prenatal obstruction. Ureteroceles are classified as ectopic or intravesical and may cause urinary tract infections, masses, incontinence or obstruction. Diagnosis involves imaging tests like ultrasound, VCUG, IVP or CT scan. Treatment depends on symptoms but may include antibiotics, endoscopic incision, upper pole nephrectomy, u
Soft tissue calcifications and ossifications / oral surgery courses
This document discusses various types of soft tissue calcification and ossification that can occur in the oral cavity. It describes two main types of pathologic calcification: dystrophic calcification, which occurs in dead or degenerated tissues with normal calcium metabolism, and metastatic calcification, which occurs in normal tissues associated with abnormal calcium metabolism. Specific examples of soft tissue calcifications discussed in detail include calcified lymph nodes, tonsilloliths, cysticercosis lesions, arterial calcification, sialoliths, and phleboliths. The document also covers heterotopic ossification and provides examples such as osteoma cutis and myositis ossificans.
Procedure to Medico legal Autopsy.pptx
In this slide you'll get all the procedures of medicolegal autopsy and collection and preservation of samples.
embryology and anatomy of hypospadias
Hypospadias is a congenital abnormality where the urethral opening is located on the ventral side of the penis. It occurs due to abnormal development of the urethra during embryogenesis. The urethra normally develops from the urethral groove which deepens between the urethral folds and fuses in the midline to form the urethral tube. In hypospadias, this fusion of folds is impaired, resulting in an abnormal ventral opening of the urethra. The document discusses in detail the normal embryological development of the male urogenital system and the urethra. It also explores various theories regarding the precise origin and development of
Hydrocephalus
This document discusses hydrocephalus, including:
1) It defines hydrocephalus as an increased volume of cerebrospinal fluid in the ventricles due to overproduction or impaired absorption, causing increased pressure in the skull.
2) There are two main types - communicating/non-obstructive which involves overproduction or underabsorption of CSF, and non-communicating/obstructive which involves obstruction of CSF flow.
3) Clinical features vary depending on age but include increasing head size, irritability, vomiting, and signs of increased intracranial pressure like headache.
4) Treatment involves reducing CSF production medically or surgically placing a shunt to divert CSF out of
Vesicoureteric reflux by dr emmanuel, godwin
Vesicoureteric reflux , a common condition in children which could be misdiagnosed . Early diagnosis can help prevent renal scarring and other complications
Gyne procedure
This document provides an overview of various gynaecological procedures including:
1. Thin prep liquid based cytology, colposcopy, speculums, and biopsy tools for examining the cervix and vagina.
2. Transvaginal ultrasound, sonohysterography, saline infusion sonography, and MRI for examining the uterus.
3. Hysteroscopy, the gold standard for assessing the endometrium, which allows both diagnostic and operative procedures such as removing fibroids and polyps.
4. Endometrial ablation techniques for removing the endometrium without hysterectomy, including various laser, electrosurgery, balloon, and microwave methods.
Stump stone after cholecystectomy.ppt
Stump stones after cholecystectomy can occur when a cystic duct remnant is left behind after surgery. This summary will discuss cystic duct remnant stones.
Cystic duct remnant stones are a rare cause of post-cholecystectomy syndrome, occurring in less than 2.5% of cases. They are more common after laparoscopic versus open cholecystectomy since the cystic duct is often cut closer to the gallbladder laparoscopically. Diagnosis is difficult but can be made using ERCP or MRCP. Treatment options include ERCP with basket extraction, ESWL with fragmentation and basketting, endoscopic biliary lithotripsy, or repeat lapar
Similar to Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة (20)
Anorectal Malformation for BSc Nursing/PB BSc Nursing
Anorectal Malformation for BSc Nursing/PB BSc Nursing
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...
How to Improve Chances of Delivering a Healthy Baby Antenatal Diagnostic & Im...
Complications of laparoscopic cholecystectomy, by Dr. Bashab Bijoy Roy, PGT,SMC,
Complications of laparoscopic cholecystectomy, by Dr. Bashab Bijoy Roy, PGT,SMC,
Soft tissue calcifications and ossifications / oral surgery courses
Soft tissue calcifications and ossifications / oral surgery courses
More from Mohamad محمد Al-Gailani الكيلاني
A case of Trichobezoar in a teenage female
A case report of a 14-year-old female with abdominal pain and a palpable abdominal mass. Trichobezoar confirmed on Gastroscopy and CT scan. Managed by removal on open surgery. CT images and Intraoperative photos are shown, as well as a review of the condition.
A rare case of Omental & Fibroid Torsion
A rare case of acute abdomen managed by diagnostic laparoscopy. The findings were of simultaneous torsion of the greater omentum and a sub serosal fibroid. Both excised laparoscopically. The case is unique as it combines two rare pathologies happening simultaneously. Includes intra operative photos and a review of both conditions.
مضاعفات عملية استئصال المرارة بجراحة المناظير .docx
مضاعفات العمليات الجراحية
POSTOPERATIVE COMPLICATIONS
عملية استئصال المرارة بجراحة المناظير
Laparoscopic Cholecystectomy
الدكتور محمد الكيلاني
استشاري جراحة الثدي والجراحة العامة
رئيس قسم الجراحة
مسؤول التعليم والتدريب الطبي
مستشفى الحمادي، النزهة
الرياض، المملكة العربية السعودية
Dr. Mohamad Al-Gailani FRCS
Consultant Breast and General Surgeon
Chief of Surgery
In Charge Medical Education and Training
Al Hammadi Hospital
Nuzha
Riyadh, KSA
"سرطان الثدي "المختصر المفيد.docx
سرطان الثدي الاسباب و التشخيص و العلاج بالمختصر المفيد
الدكتور محمد الكيلاني
استشاري جراحة الثدي و الجراحة العامة
رئيس قسم الجراحة
مسؤول التعليم و التدريب الطبي
مستشفى الحمادي, النزهة
الرياض
المملكة العربية السعودية
"الم الثدي "المختصر المفيد.docx
Breast Pain "Vade Mecum"
Etiology and Management
الم الثدي الاسباب و العلاج
الدكتور محمد الكيلاني
استشاري جراحة الثدي و الجراحة العامة
Breast Cancer Vade Mecum.pptx سرطان الثدي المختصر المفيد
Breast Cancer Vade Mecum سرطان الثدي المختصر المفيد
is a concise, intense, specific, and up to date Guide at hand for consultation on breast cancer useful for all doctors interested in the subject.
Hello, I am a consultant Breast and General Surgeon, Chief of Surgery and In Charge of Medical Education and Training at Al Hammadi Hospital, Nuzha Riyadh, KSA.
Dr. Mohamad Al-Gailani
الدكتور محمد الكيلاني
Approach to the Acute Abdomen
Approach to the Acute Abdomen.
Acute abdomen: Medical or Surgical?
What salient symptoms, signs and what investigations?
Clinical scenarios with radiology images and comments.
Indications for laparoscopy/laparotomy
Intended for the undergraduate and the post graduate surgeon, emergency room doctor, Internist and Radiologist.
Dr. Mohamad Al-Gailani FRCS
الدكتور محمد الكيلاني
Chief of Surgery
رئيس قسم الجراحة
In-Charge Medical Education & Training
مسؤول التعليم و التدريب الطبي
Al Hammadi Hospital, Nuzha
Riyadh, KSA
مستشفى الحمادي, النزهة
الرياض, المملكة العربية السعودية
Iraqi Diaspora.pptx الشتات العراقي
Iraqi Diaspora الشتات العراقي
الفن العراقي في المهجر
الاعمال الفنية للرسام التشكيلي العراقي محمود فهمي
الشعر للشاعر العراقي كريم العراقي
الموسيقى للموسيقي العراقي فرات قدوري
الانتاج من كيلاني تيوب
بمناسبة لقاء خريجي ثانوية كلية بغداد
.(اليوبيل الذهبي (50 عام على التخرج
مارماريس, تركيا
2022 23 ايلول
Meckels diverticulum perforation from jujube pit ثقب رتج ميكل الناجم عن نوا...
Meckels diverticulum perforation from jujube pit ثقب رتج ميكل الناجم عن نوا...Mohamad محمد Al-Gailani الكيلاني
Case report of an acute abdomen due to perforated viscous.
Laparotomy found the perforation at a Meckel's Diverticulum and was by a jujube pit. Photos of the operative findings in addition to the abdominal xray and CT scan are presented. Case discussion with review of literature.
Dr Mohamad Al-Gailani MBChB, MS, FRCS
Chief of Surgery
Al Hammadi Hospital
Nuzha
Riyadh, KSAالضيافة للمستشفيات: مهارة اتصال اساسية
حسن الضيافة ضرورة تتطلبها أية مؤسسة خدمية او سياحية او ترفيهية لإنجاح عملها.
المستشفيات كذلك عليها الاهتمام بحسن الضيافة لمرضاها الزائرين بالإضافة الى عوائلهم.
الانطباع الأول عن المستشفى يبدئ عادة بموظف او موظفة الاستقبال.
التعامل الإنساني, الابتسامة و الأسلوب الحسن هي من مهارات الاتصال الضرورية.
من اجل زيادة الوعي بأهمية الضيافة للمستشفى كمهارة اتصال ضرورية و اساسية سعت مستشفيات الحمادي على القيام بعدة دورات تدريبية (باللغة العربية و الإنكليزية) عن الضيافة شملت الأطباء و الكادر التمريضي و موظفي الاستقبال.
نامل ان تكون تجربة أي مريض بعد زيارة مستشفياتنا تجربة مميزة و مرضية والله الموفق.
الدكتور محمد الكيلاني
15/3/2021
Phrygian Cap Colic
A case presentation of biliary colic in a patient found to have a phrygian cap anomaly in his gall bladder who underwent laparoscopic cholecystectomy with resolution of symptoms. Photos of his MRI scan, the surgery as well as of the removed gall bladder are presented.
Open disclosure المكاشفة المفتوحة
Open Disclosure is the process of open discussion of adverse events that result in unintended harm to a patient while receiving health care and the associated investigations and recommendations for improvement.
الإفشاء المفتوح او المكاشفة المفتوحة هي عملية مناقشة مفتوحة للأحداث السلبية التي تؤدي إلى ضرر غير مقصود للمريض أثناء تلقي الرعاية الصحية والتحقيقات والتوصيات المرتبطة بها للتحسين.
In this PowerPoint we will give a clinical example followed by the proper recommended steps to be taken afterwards for open disclosure. This is part of openness and transparency in medical practice and is within the spirit of good medical practice.
Dr. Mohamad Al-Gailani الدكتور محمد الكيلاني
1/4/2020
Breast cancer risk factors 2019 عوامل خطر الاصابة بسرطان الثدي
An update (2019) on breast cancer risk factors and the ways to reduce the risk.
Breast awareness campaign for October Breast Cancer Awareness month 2019 at Al Hammadi Hospital, Nuzha, Riyadh, KSA.
شهر اكتوبر تشرين الاول من كل عام هو شهر التعريف عن سرطان الثدي العالمي
مستشفى الحمادي النزهة في الرياض المملكة العربية السعودية تقوم سنويا بهذا الشهر بالتوعية بالمرض لخدمة مرضاها و عوائلهم
نحن بعون الله نرعاكم
How I do it...Z-plasty for Pilonidal Sinus
Case presentation of a recurrent pilonidal sinus treated with Z-plasty technique. Includes step-by-step management and intra-operative photos.
Dr. Mohamad Al-Gailani FRCS الدكتور محمد الكيلاني
Chief of Surgery رئيس قسم الجراحة
Al Hammadi Hospital, Nuzha مستشفى الحمادي, النزهة
Riyadh, KSA الرياض, المملكة العربية السعودية
Laparoscopic Repair of Strangulated Spigelian Hernia
Case presentation of strangulated Spigelian hernia presenting with localized peritonitis repaired laparoscopically. Includes intra-operative images.
Dr. Mohamad Al-Gailani FRCS الدكتور محمد الكيلاني
Chief of Surgery
Al Hammadi Hospital, Nuzha مستشفى الحمادي, النزهة
Riyadh, KSA الرياض, المملكة العربية السعودية
Anaemia in Surgery فقر ألدم في ألجراحة
The approach to a patient presenting with anaemia in the surgical setting. What are the probable causes? What investigations should you consider?
This presentation is part of the seminar "Approach to Anaemia" held at Al Hammadi Hospital, Nuzha, Riyadh, KSA on the 15th of March 2019.
Dr. Mohamad Al-Gailani FRCS ألدكتور محمد ألكيلاني
Chief of Surgery
In-Charge Medical Education & Training
Al Hammadi Hospital, Nuzha مستشفى ألحمادي, ألنزهة
Riyadh, KSA الرياض, ألمملكة ألعربية ألسعودية
Sigmoid Volvulus Case Presentation 2019 التواء ألقولون
A case of sigmoid volvulus successfully managed with sigmoid colectomy is presented. Includes investigations performed and images of xrays, CT scan as well as intra-operative images. A review of current (2019) management guidelines is discussed.
Dr. Mohamad Al-Gailani FRCS الدكتور محمد الكيلاني
Consultant Surgeon جراح استشاري
Chief of Surgery رئيس فرع الجراحة
In-Charge Medical Education & Training مسؤول التعليم و ألتدريب الطبي
Al Hammadi Hospital, Nuzha مستشفى الحمادي النزهة
Riyadh الرياض
KSA. المملكة ألعربية ألسعودية
Pilonidal Sinus: Which Operation?
Which operation for pilonidal sinus? Open or closed? Midline or eccentric closure? An algorithm for the operative treatment of symptomatic pilonidal sinus disease is proposed. In addition to intra-operative photos of the operation of Rhomboid excision and Limberg flap.
More from Mohamad محمد Al-Gailani الكيلاني (20)
مضاعفات عملية استئصال المرارة بجراحة المناظير .docx
مضاعفات عملية استئصال المرارة بجراحة المناظير .docx
Breast Cancer Vade Mecum.pptx سرطان الثدي المختصر المفيد
Breast Cancer Vade Mecum.pptx سرطان الثدي المختصر المفيد
Meckels diverticulum perforation from jujube pit ثقب رتج ميكل الناجم عن نوا...
Meckels diverticulum perforation from jujube pit ثقب رتج ميكل الناجم عن نوا...
Breast cancer risk factors 2019 عوامل خطر الاصابة بسرطان الثدي
Breast cancer risk factors 2019 عوامل خطر الاصابة بسرطان الثدي
Laparoscopic Repair of Strangulated Spigelian Hernia
Laparoscopic Repair of Strangulated Spigelian Hernia
Sigmoid Volvulus Case Presentation 2019 التواء ألقولون
Sigmoid Volvulus Case Presentation 2019 التواء ألقولون
Recently uploaded
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Light House Retreats: Plant Medicine Retreat Europe
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...chandankumarsmartiso
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun Women Seeking Service
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
NVBDCP.pptx Nation vector borne disease control program
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Learn about body grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Recently uploaded (20)
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Light House Retreats: Plant Medicine Retreat Europe
Light House Retreats: Plant Medicine Retreat Europe
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
- 1. GALL BLADDER DOUBLE-DIVERTICUALE: A CASE REPORT الرتج مزدوجة المرارة : حالة تقرير DR. MOHAMADAL-GAILANI MS, FRCS الكيالني محمد الدكتور CONSULTANT SURGEON CHIEF OF SURGERY AL HAMMADI HOSPITAL الحمادي مستشفى RIYADH الرياض KSA السعودية العربية المملكة
- 2. • During laparoscopic cholecystectomy it is estimated that congenital gallbladder malformations are diagnosed in 1% of the cases • Congenital diverticula of the gall bladder are considered one of the rarest congenital anomalies of the gallbladder. • We present a case of double diverticulae of the gallbladder encountered during a routine elective laparoscopic cholecystectomy for cholelithiasis.
- 3. FIFETY NINE-YEAR-OLD SAUDI FEMALE • OPD APRIL 2024: FOURYEAR HISTORY OF BILIARY COLIC • OTHERWISE, FIT • US: “DUPLICATED” GALLBLADDER COMPOSED OF 2 POUCHESTHE SMALLER ONE HARBORS MULTIPLETINY ECHOGENIC SHADOWING STONES (2-3MM) ANDTHE LARGER ONE HARBORS SOLITARY STONE 11MM. NORMAL CALIBER CBD • COUNSELLED FOR LAPAROSCOPIC CHOLECYSTECTOMY
- 4. • FINDINGS: • CHRONIC CHOLECYSTITIS • NO OBVIOUS “DUPLICATED” GALLBLADDER! • GALLBLADDER NOTEDTO BE PARTLY BURRIED UNDERTHE LIVER ON BOTH SIDES JUST PROXIMALTOTHE CYSTIC DUCT. • PROCEDURE: • FUNDUS-FIRST GALLBLADDER MOBILIZATION • BLUNT DISSECTION OFTHE BURRIED PARTS • LARGE BILATERAL DIVERTICULAE (POUCHES) REVEALED
- 5. LAPAROSCOPIC CHOLECYSTECTOMY CYSTIC ARTERY STUMP BODY GALL BLADDER LONG CYSTIC DUCT DIVERTICULAE RIGHT & LEFT DIVERTICULAE الكيالني محمد الدكتور
- 6. DOUBLE-DIVERTICULUM GALLBLADDER: DIVERTICULAE CYSTIC DUCT STUMP FUNDUS & BODY GALL BLADDER
- 7. • A GALLBLADDER ASSOCIATED WITH ATRUE DIVERTICULUM IS UNCOMMONLY FOUNDTO BE BURIED INTHE LIVER, LEADINGTO SURGICAL DIFFICULTIES IN IDENTIFYING ANATOMY DURING CHOLECYSTECTOMY. • BACKGROUND KNOWLEDGE OFTHE EXPECTED ANOMALIES IS ESSENTIAL IN GUIDINGTHE SURGEON SAFELYTHROUGHTHE OPERATION OF LAPAROSCOPIC CHOLECYSTECTOMY • THE GOAL ISTO AVOID POTENTIAL BILE DUCT INJURY WITH ITS SERIOUS SEQUALAE.
- 8. • BE READYTO EXPECT CONGENITAL ANOMALIES OFTHE GALLBLADDER! • MORE IMPORTANTLY, BE FAMILIARWITH ALLTYPES OF EXPECTED GALLBLADDERCONGENITAL ANOMALIES, INCLUDING DIVERTICULAE! • DURING LAPAROSCOPIC CHOLECYSTECTOMY: • ALWAYS EXERCISE SURGICAL PRUDENCE. • LIMITTHE USE OF ELECTROCOAGULATION. • ENSURETHAT NO STRUCTURES ARE DIVIDED UNTILA CLEAR PICTURE OFTHE BILE DUCTS AND BLOODVESSELS IS OBTAINEDWITHIN CALOT’STRIANGLE. • SAFETY IN SURGERY! GOOD LUCK!
- 9. الرتج مزدوجة المرارة : تقرير حالة الكيالني محمد الدكتور العامة الجراحة استشاري الجراحة قسم رئيس الحمادي مستشفى الرياض , السعودية العربية المملكة DR. MOHAMAD AL-GAILANI MS, FRCS